When a Surgical Complication Becomes Medical Malpractice
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Reviewed & verified by A. Jason Velez, Esq.*
Founding Attorney, 1LAW · Last reviewed June 26, 2022
Legal Inquiry
Consumer Legal Issue
I was in the hospital at the beginning of this year due to a procedure that went wrong. They punctured something in my lungs, I went into cardiac arrest, and the doctor also took out a rib.
Attorney Answer
Possibly — but a bad outcome is not the test. The question is whether the care fell below what a reasonably careful provider would have done, and only a physician's review of your records can answer it.
Serious complications happen in medicine without anyone being negligent. Some punctures are recognized risks of a procedure, disclosed on the consent form, and not malpractice on their own. What often matters more than the complication itself is what happened next: whether it was recognized, how quickly, and whether the response met the standard of care. That is where a claim is usually won or lost.
California courts have upheld exactly that kind of claim. In Czubinsky v. Doctors Hospital, 139 Cal. App. 3d 361 (1983), a patient went into cardiac arrest after a routine surgery, the case was tried on the adequacy of post-operative monitoring, and the jury's verdict for the patient was upheld on appeal. The lesson for your situation is that the care surrounding a procedure — monitoring, staffing, response — can itself be the negligence, separately from how the procedure was performed. It also means the hospital, not only the individual doctor, can be part of the analysis.
Proving that takes records and an expert. A California malpractice claim generally requires a qualified physician in the relevant specialty to review the chart and say what the standard of care required and how it was missed. That review, not the severity of what you went through, is what tells you whether you have a case.
Two things about damages are worth knowing before you start. Cal. Civ. Code § 3333 sets the measure: the amount that will compensate for all the detriment proximately caused, whether it could have been anticipated or not — medical costs, lost earnings, and the human consequences. But Cal. Civ. Code § 3333.2 caps noneconomic damages, meaning pain and suffering, against health care providers. The statute sets a base figure that rises by a fixed amount each January 1 for ten years, so the applicable number depends on the year involved; do not rely on any single figure you see quoted online.
What you can do
1. Request your complete hospital record in writing, including the operative report, the anesthesia record, nursing notes, imaging, and the resuscitation or code record.
2. Request a copy of the informed-consent form you signed for the procedure.
3. Write down the name and specialty of every provider you have seen since, and gather the records from each.
4. Keep the bills and any correspondence from the hospital or its risk management department, and do not sign anything that reads like a release without a lawyer looking at it first.
5. Ask a local medical malpractice attorney to have the chart reviewed by a physician in the same specialty. That review decides whether there is a claim.
6. Ask that attorney about the pre-suit steps California requires before a malpractice complaint may be filed, including the notice of intent under Cal. Code Civ. Proc. § 364.
Most lawyers offer a brief initial call at no cost, and a few minutes on your specific facts with someone licensed in California is worth more than any general guidance, including this page.
⏱ Time limits apply. Cal. Code Civ. Proc. § 340.5 governs: an action must be commenced three years after the date of injury, or one year after the plaintiff discovers, or through reasonable diligence should have discovered, the injury — whichever occurs first. The one-year prong is often the one that runs out, and it can start earlier than people assume. Different rules apply to minors. If the hospital was operated by a public entity, Cal. Gov't Code § 911.2(a) requires a claim to be presented to that entity within six months of accrual, which is far shorter than anything else here. Which of these applies, and from what date, depends on your facts — have a local attorney check them now.
Cases Cited
Published decisions relevant to this issue, provided as legal background rather than advice about any particular case.
- Czubinsky v. Doctors Hospital, 139 Cal. App. 3d 361 (1983) — Cal. Ct. App.
Post-operative cardiac arrest attributed to inadequate monitoring after a routine surgery; the jury verdict for the plaintiff was upheld. Cited to show that the care around a procedure, and the hospital's own conduct, can be the negligence — not only the surgeon's technique.
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Frequently Asked Questions
Is a complication during surgery automatically medical malpractice?
No. Malpractice is measured against the standard of care, not against the outcome. Some complications are recognized risks of a procedure and are disclosed in advance on a consent form. A claim depends on showing that the care fell below what a reasonably careful provider in the same specialty would have done, which normally requires a qualified physician to review the records.
Can a hospital be responsible for what happens after an operation, not just during it?
Yes. Post-operative care — monitoring, staffing and the speed of response to a deteriorating patient — is part of the care that is measured against the standard. In *Czubinsky v. Doctors Hospital*, 139 Cal. App. 3d 361 (1983), a jury verdict for a patient who suffered cardiac arrest after routine surgery, tried on the adequacy of post-operative monitoring, was upheld on appeal.
How long does someone have to bring a medical malpractice claim in California?
Cal. Code Civ. Proc. § 340.5 requires an action to be commenced three years after the date of injury or one year after the plaintiff discovers, or with reasonable diligence should have discovered, the injury, whichever occurs first. Separate rules apply to minors. If a public hospital is involved, Cal. Gov't Code § 911.2(a) requires a claim to be presented to the public entity within six months of accrual.